Question

Q: Write Two PES statement for the following short case study.

JJ is a 50 y.o. woman who works as an accountant. She presents to her family physician with elevated blood pressure and obesity. JJ has struggled with her weight since childhood and indicates that her weight problems worsened 5 years ago when she returned to work as an accountant.

Nutrition Assessment

Client History:

Age- 50 years old

Gender- Female

Married with three children-ages 20, 15, and 10

Medical/Health History- elevated blood pressure (145/90 mm Hg)

Family History: Mother history of hypertension and T2DM at age of 60

Medical Diagnosis: Metabolic Syndrome

Food/Nutrition-Related History:

Total energy intake- Diet history indicated estimated energy intake of 2800-3000 kcal/day from a usual meal pattern of three meals and two snacks

Physical Activity History- sedentary lifestyle

Biochemical Data, Medical Tests, and Procedures:

Glucose, fasting- 122 mg/dL

Cholesterol, serum- 236 mg/dL

Triglycerides, serum- 179 mg/dL

Cholesterol, HDL- 39 mg/dL

Cholesterol, LDL- 153 mg/dL

Anthropometric Measurements:

Height- 5' 5"

Weight- 220#

Body Mass Index- 36.6

Waist Circumference- 40

Weight History- Lowest weight of 150 pounds (age of 25). Highest weight is current weight of 220 pounds. Gained approximately 50 pounds since returning to work as an accountant.

Comparative Standards

MyPlate recommendations of 1800-2200 kcal/day

BMI 36.6- Obese Class II

Answer 1

A structured PSE statement helps a dietician to plan appropriate treatment for the patient.Here JJ,50yrs old lady has BMI of 36.6(obese type 2) and her weight problem got worsened as she retured to her accountant job (which indicates that physical inactivity is the major cause of weight gain) and also she is taking excess food (2800kcal-3000kcal/day) which is not needed for a adult, 1800-2200kcal/day is recommented and her hypertension can be related to obesity.

A PES statement comprises of problem,etiology and the symptoms.

PES statement for this case study

1.Overweight related to lack of physical activity as evidenced by body weight of 220pound and BMI-36.6.

Goal-Patient attains normal body weight.

Intervensions.

• Assess the daily activities of the patient.
• Make a daily plan for physical activity
• Encourage patient follow work out plans
• Encourage to avoid high fat diet.
• Educate the patient about importance of activity in attaining weight loss.

2.Excessive intake of energy related improper diet as evidenced by intake of 2800-3000kcal/day.

Goal-Patient follows a proper diet

Intervensions

• Assess the intake of the patient.
• Encourage to avoid high fat food
• Encourage to take more vegetables.
• Encourage the water intake.
• Advise to reduce snaks and sweets.